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NPI Code Detail

MEDICARE: PATRICIA DIXON LCSW

MEDICARE: PATRICIA DIXON LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorSW10342FL

General Provider Information

NPI Number : 1205202942
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA DIXON LCSW
Provider Business Mailing Address
First Line : 220 OFFICE PLZ
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32301-2808
Country : US
Telephone Number : 850-877-0205
Fax Number :
Provider Business Practice Location Address
First Line : 220 OFFICE PLZ
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32301-2808
Country : US
Telephone Number : 850-877-0205
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2015
Last Update Date : 08/17/2015

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Directions to “ PATRICIA DIXON LCSW” Practice Location

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